| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $150.00 | $2,052.00 | |
Lucent Health
| Facility | $55.00 | $4,493.00 | $4,493.00 | |
United
| Facility | $1,128.00 | $2,297.00 | $4,326.00 |